MINEC Forum III

Implantation and Innovation Conference

ANALOG vs DIGITAL

OCTOBER 22-23, 2021

in TALLINN

Simultaneous translation to Russian

LEctuREs

Miltiadis Mitsias DDS, MSc, PhD

Thinking Out of the Box: The Root Membrane Concept

Loss of blood supply derived from the periodontal ligament (PDL) has been identified as a major etiologic factor for ridge resorption. Animal studies and case reports provide proof-of-principle data on the feasibility of immediate implant placement in proximity to a retained root fragment for the strategic preservation of the natural tooth apparatus. This novel concept relies on the preservation of PDL, buccal plate and facial soft tissue esthetics via selective preservation of the buccal portion of the root. Recently, the first longitudinal data on implant success using this technique for immediate implant placement in maxillary anterior sites were presented.

The root membrane technique is an excellent treatment modality for the esthetic rehabilitation of anterior sites. Recently published clinical research has shown that the root-membrane technique is not only a safe but also efficacious treatment approach.

This presentation will dive into the biological rationale behind the preservation of the buccal aspect of the root and periodontal apparatus during immediate implant placement and inform the audience on the indications and clinical steps for the use of this novel technique.

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Irfan Abas MSc

Creating Teeth & Gums: How to Mimic Nature

Oral implant therapy to restore failed or lost teeth has become a proven treatment concept in the last decades. While in the past the use of dental implants was mainly for functional reasons, nowadays the patient asks and demands perfectly restored teeth concerning the pink and white esthetics. As a consequence, dental implant therapy has become more demanding and challenging for the implant surgeon as well as the prosthodontist.

In this lecture, we will go in to the timing and planning of dental implants in the esthetic zone, when the tooth has not been extracted. With the use of CBCT planning, we have major advantages but do we use them to the full extent concerning 3D planning? Nowadays we have major advantages because of digital dentistry. With the use of an intraoral scan we can not only do a virtual planning, but with the use of guided surgery, it is possible to get the implant in to the exact same planned position. However, from the not extracted teeth to the resorbed ridge, there are major differences in planning and treatment.

Once the implant has healed, the prosthodontic challenge starts. How to open the cervical and emergence profile with customized healing abutments or temporary crowns – and the road from there to restore teeth and mimic nature.

See full abstract & CV

Miltiadis Mitsias & Irfan Abas

Analog vs Digital

Like the rest of the world, dentistry is rapidly digitalizing. It is important to understand what innovative approaches we already have to gain from today, and what traditional protocols it is important to continue to follow. In this joint lecture, Dr. Miltiadis Mitsias and Dr. Irfan Abas will speak together to highlight the advantages and disadvantages of both methodologies.

Veiko Vengerfeldt PhD

How to Achieve Planned Results in Guided Surgery on a Daily Basis?

The Results of a Pilot Study

Authors: Dmitri Ruzanov, Kristina Saarepera, Veiko Vengerfeldt, Stanislav Liskmann, Kristjan Lank

With the advent of guided surgery, many different articles have been published on the accuracy of guided implantation. Although the average accuracy of R2Gate is good, we are still unaware what causes us to get the desired result in 70% of cases, while 15% of cases are better than expected and 15% are lower than expected. In this lecture, we will present the results of a pilot study on how to reduce the proportion of “below expectation” results, so that we can achieve the desired results in guided surgery on a daily basis.

Irfan Abas MSc

blue®m: Oxygen Therapy in Dental Treatments to Treat Infections

The use of oxygen for wound healing management have been described extensively in the medical field. In the dental field it is not common to use oxygen products as a supplement to enhance the wound healing process after dental (surgical) treatment. In this lecture we will go over the use of a novel product which contains active oxygen as a supplement to existing therapies in gingivitis, periodontitis and peri-implants disease with case reports.

Oxygen is an important factor for wound healing. From the medical field we know oxygen is crucial and necessary for every step of the wound healing. The oxygen is necessary for increasing energy production for reparative processes. Secondly oxygen stimulates the production of reactive oxygen which are bacteriostatic and stimulate angiogenesis. In the medical field therefore, the additional use supplemental oxygen in wound healing has been proposed, delivered locally or systematically to the patient. From a systematic review (de Smet et al. 2017) the use of topical oxygen supplement had a significant positive outcome on the wound healing.

In dentistry clinicians have to face and treat dental infections and wound healing almost on a daily basis. Although from the medical field, the use of supplemental oxygen is a common therapy, this is still not the case in dentistry. The aim of the article is to give clinicians a short overview, with a case series, how supplemental topical oxygen can be used in the treatment of several dental conditions. Also, the proposal of Topical Oral Oxygen Therapy (TOOTh) guideline will be made for the use in everyday dentistry.